National Provider Identifier
Mackenzie Gullo
Mackenzie Gullo is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 662-2040.
Profile Overview
- NPI
- 1487323895
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 09, 2021
- Last Updated
- September 09, 2021
Practice Location
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Phone: (716) 662-2040
Mailing Address
- 326 Orchard Park RD
- West Seneca, NY 14224-2635
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1487323895
- Entity Type
- Individual
- Last Name
- Gullo
- First Name
- Mackenzie
- Mailing Street Address
- 326 Orchard Park RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2635
- Mailing Country
- US
- Mailing Phone
- (716) 828-0560
- Mailing Fax
- (716) 823-0751
- Practice Street Address
- 227 Thorn Ave
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2600
- Practice Country
- US
- Practice Phone
- (716) 662-2040
- Enumeration Date
- September 09, 2021
- Last Updated
- September 09, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 09, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)